Digital Commons Network^™

Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage

Walden Dissertations and Doctoral Studies

Ongoing training at the targeted behavioral health organization is necessary to improve employee knowledge, skills, and abilities to drive engagement and overall organizational performance. The purpose of this case study was to determine what leadership practices and strategies are currently in place and what training modules improve employee development for the purpose of improving workforce engagement. The Baldrige Excellence Framework was used to guide the qualitative case study of the nonprofit organization, which provides social services to low-income families in the United States. Data sources included semistructured interviews with two behavioral health leaders at the organization and reviews of organizational …

Digital Nudges: An Investigation Of Both Consumer And Designer Perspectives, Ja-Naé Duane

2023

This dissertation explores how knowledge of digital nudges impacts consumer decisions, and how consumer preferences based on that knowledge impacts design decisions. Paper 1 presents a systematic narrative literature review on the evolution of digital nudge literature. This investigation uncovers several themes and provides a basis for a revised definition of digital nudges and a taxonomy wheel of digital nudges. Paper 2 (co-authored with Jeffrey Livingston, Jonathan Ericson, and Patrick McHugh) investigates how knowledge about digital nudges impacts consumer preferences to have them within the digital experiences they use. This paper highlights how knowledge of digital nudges impact consumer online …

Development Of An Evidence Based Surgical Site Infection Bundle In Patients Undergoing Colorectal Surgery: A Quality Improvement Initiative, Jessica Mcbee

DNP Scholarly Projects

BACKGROUND: Surgical site infections (SSI) are among the leading healthcare-acquired infections that negatively impact patient outcomes and increase total cost of healthcare and the patient’s length of stay. At a community hospital in West Virginia, trends in SSI rates and the standardized infection ratio (SIR) increased for patients undergoing colorectal surgery. The purpose of this quality improvement project was to identify and implement permanent evidence-based practice changes to reduce SSI rates in colon surgery patients.

METHODS: Baseline rates of SSI and the SIR for the facility was calculated from October 2021 to September 2022. Colon surgery SSI reduction …

Pregnancy Rate And Reproductive Hormones In Humpback Whale Blubber: Dominant Form Of Progesterone Differs During Pregnancy, S. Atkinson, T. A. Branch, A. A. Pack, Janice Straley, J. R. Moran, C. Gabriele, K. L. Mashburn, K. Cates, S. Yin

Faculty, Staff, and Students

To better understand reproductive physiology of humpback whales Megaptera novaeangliae that reside in Hawai’i and Alaska, enzyme immunoassays were validated for both progesterone and testosterone in free-ranging and stranded animals (n = 185 biopsies). Concentrations were analyzed between different depths of large segments of blubber taken from skin to muscle layers of stranded female (n = 2, 1 pregnant, 1 non-pregnant) and male (n = 1) whales. Additionally, progesterone metabolites were identified between pregnant (n = 1) and non-pregnant (n = 3) females using high pressure liquid chromatography (HPLC). Progesterone concentrations were compared between juvenile (i.e., sexually immature), lactating, and …

Almajiri Health; A Scoping Review On Disease, Health Literacy And Space For Participatory Research, Muzzammil Imran Muhammad

Yale Medicine Thesis Digital Library

Introduction

Almajirai are male children who leave the care of their parents to learn the Qur’an and study Islam under the tutelage of a Mallam or Imam at a Tsangaya. Almajiranci refers to the system of education based on this relationship between almajiri and mallam, and which was the dominant mode of education in precolonial Hausaland – Northern Nigeria and Southern Niger. This system remains widespread and popular in both countries. In recent years, discourse around almajirai has featured prominently in media from and about this region, and has associated almajiranci with non-participation in formal education, abuse, poverty, and underdevelopment. …

Examination For Independent Predictors Of Seasonality Of Birth Across Forty-Nine Low- And Middle-Income Countries: Analyses Of The United States Agency For International Development Demographic And Health Survey Data, Jehanzeb Kayani

Yale Medicine Thesis Digital Library

Although seasonal patterns in the distribution of live births have been well described across distinct populations for centuries, little is known about determinants of birth seasonality, particularly among low- and middle-income countries. Knowledge of determinants of birth seasonality may assist in the timely implementation and distribution of maternal and child health resources that may morbidity and mortality. In this study we examined for maternal and household sociodemographic determinants of birth seasonality in a sample of 3,260,238 live births across 49 nations that are included in the United States Agency for International Development Demographic and Health Survey Program. Our findings demonstrate …

Lipid Profiles Help Explain Protection From Atherosclerosis In Ascending Aortic Aneurysm Patients, Gabe Weininger

Yale Medicine Thesis Digital Library

Multiple indicators including low coronary artery calcium score, low carotid intimal media thickness, and low rates of myocardial infarction have previously suggested that ascending thoracic aortic aneurysm (ATAA) disease is protective against systemic late atherosclerosis. However, the mechanism of this paradoxical, protective effect is still unknown and may provide valuable insights into the fundamental pathophysiology of both ATAAs and atherosclerosis. Our aim was to investigate whether ATAA patient lipoprotein levels may help explain this anti-atherogenic phenomenon. To investigate this research question, we carried out a large case-control study in which we compared lipoprotein levels between 532 matched pairs of isolated …

Active Adult Communities, A Master Plan Design For Independent Living Communities In Arlington, Texas, Cooper Begis

Landscape Architecture Masters & Design Theses - Archive

The purpose of this qualitative study is to design a master plan for independent living communities that will include the development of amenities, natural features, and connections, which encourage physical and social engagements within their living arrangements.

Creating landscapes that promote Active Living has been a trending topic explored over the last couple of decades. The World Health Organization defines this as, “A way of life in which physical, social, mental, emotional and spiritual activities are valued and are integrated into daily living.” (WHO, 2023) Providing these spaces encourages opportunities to interact and engage with others of similar ability. In …

Professional Development Needs Of Early Childhood Educators Teaching Children With Challenging Behaviors, Latashia L. Kelly

Walden Dissertations and Doctoral Studies

AbstractEarly childhood educators have struggled to teach children with challenging behaviors, which can lead to suspension and expulsion. Although early childhood educators have limited professional development training in challenging behaviors, they are often not equipped to teach children with challenging behaviors. There is little research on how early childhood educators perceive their current training regarding teaching children with challenging behaviors. Exploring early childhood educators’ perceptions can determine what they need to teach children with challenging behaviors for a thriving classroom environment. The purpose of this basic qualitative study was to better understand educators’ perceptions regarding the type of professional development …

Educating Nurses On Mental Fatigue, Tawanna Ann Canty

Walden Dissertations and Doctoral Studies

Education correlates with nurse performance and avoiding mental fatigue. This project attempted to answer the question, “Educating nurses on mental fatigue will increase knowledge” focusing on educating rehabilitative nurses regarding mental fatigue. The project was guided by the Analysis, Design, Develop, Implement, and Evaluate model. Twenty rehabilitative nurses were administered a pretest consisting of 10 multiple-choice test questions. They received education on mental fatigue through PowerPoint presentations and handouts. After completing the education, participants were administered a posttest with the same 10 questions. An evaluation tool consisting of six questions was completed measuring an increase in knowledge after the posttest. …

Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge

Walden Dissertations and Doctoral Studies

Despite evidence that antidepressants are more effective at treating major depressive disorder (MDD) symptoms, there is growing evidence that MDD management is still hampered by nonadherence to antidepressant treatment regimens. Researchers have suggested that MDD, if untreated, might lead to MDD-related complications, but other researchers have argued that adherence to antidepressants can lead to these same MDD-related complications. This quantitative cross-sectional study used primary data collected from 298 volunteers to examine the association between MDD-related complications and antidepressant adherence to clarify these diverging opinions. The study’s objective was to provide evidence to accept or reject the premise that antidepressant adherence …

Mediators Between Job Stress And Health Quality Of Life Among Adults With Irritable Bowel Syndrome, Aida M. Benitez-Rexach

Walden Dissertations and Doctoral Studies

Irritable bowel syndrome (IBS) is a functional gastrointestinal affliction that affects millions around the globe, impacting health-related quality of life (HRQoL). The biopsychosocial model, Folkman and Lazarus’ transactional model of stress, Leventhal’s common sense model of self-regulation health and illness, and Bronfenbrenner’s human ecology theory are relevant to conceptualize interactions among environmental factors, biopsychosocial responses, and health-related quality of life (HRQoL). This quantitative, cross-sectional, complex correlational study sought to provide more understanding of how and whether IBS symptoms of pain, cognitive functioning, and interpersonal functioning serve as mediators between work stress and HRQoL. A total of 133 English-speaking volunteers from …

Education Program To Increase Nurses' Knowledge Of Faith Community Nursing, Lovell Thurmon Sweeten Cartwright

Walden Dissertations and Doctoral Studies

AbstractThe practice problem was a group of nurses practicing as faith community nurses (FCNs) who had no training in FCN practice, a specialty recognized by the American Nurses Association. This problem was important to address within the context of nursing practice because the nurses could have acted outside of their scope of practice and caused harm. The practice-focused question addressed whether a staff education program for FCNs would increase their knowledge of their role in a church setting with the goal of developing independent FCNs. The model guiding the project was the health promotion model. Eleven registered nurses were recruited …

Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz

Walden Dissertations and Doctoral Studies

Preterm birth is the leading cause of death in children under 5. In addition, there are 22 million babies born underweight each year which also contributes to the infant mortality rate. Some reasons for the inability to thrive and survive are the infants' immature system, allostatic load inadaptability, and undiversified and underdeveloped microbiota. Human breast milk (HBM) provides lifesaving nutrients, which prevents necrotizing enterocolitis and mortality. In addition, probiotic supplementation helps reduce late-onset sepsis, morbidities, and mortality. A literature review provided substantial evidence that HBM and probiotics can improve an infant's microbiota, thus improving thrivability and survivability. Probiotics offset the …

Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy

Walden Dissertations and Doctoral Studies

According to recent studies, the consumption of ultra-processed food is a major issue that leads to fatal outcomes within the United States, which is relevant because this type of food has become more accessible over the years. Using data from the National Health And Nutrition Examination Survey III (NHANES III), previous researchers found that frequent consumption of ultra-processed foods was associated with greater chances of all-cause mortality in U.S. adults, but little research has focused on factors that can impact ultra-processed food consumption, such as food environment. The purpose of this quantitative longitudinal study was to examine the effect of …

Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga

Walden Dissertations and Doctoral Studies

The purpose of this interpretative qualitative study was to describe influences that affect the use of traditional healing and biomedical health services for type 2 diabetes to help health educators develop more culturally competent diabetes education programs for urban American Indian/Alaska Native (AI/AN) communities in the United States. The theoretical framework used for this study was the social ecological model (SEM). Using the SEM, the research questions were crafted to explore experiences of participants connected to personal, interpersonal, community, institutional, policy, and educational factors that influenced the use of traditional healing and biomedical health services. Urban AI/AN adults living in …

The Association Between Working Habits And Hypertension Among First Generation African Immigrants, Olalekan Kilo

Walden Dissertations and Doctoral Studies

Even though hypertension affects people of all races, it is more prevalent among African Americans. However, recent research has revealed that the prevalence of hypertension is progressively increasing across Africa. African immigrants in the United States are the least-studied immigrant group prone to health inequalities when compared to their African American counterparts. To help bridge this gap, a secondary data analysis of a cross-sectional study was conducted to investigate the association between working habits (hours worked, diet at work), length of stay in the United States, and hypertension rates for first-generation African immigrants residing in the United States. The study …

Given Equal Weight Under The Law: Expanding Title Vii Protections To Prohibit Weight Discrimination, Chelsea L. Yedinak

William & Mary Journal of Race, Gender, and Social Justice

Approximately half of Americans have an overweight or obese body mass index (BMI), yet weight discrimination is legal in nearly every jurisdiction. This means employers can set BMI limits, maximum weights, waist sizes, and more with no legal consequences. This Note examines the history of anti-fat bias and weight discrimination and how that motivates weight discrimination in employment and in the law generally. It then discusses possible solutions. Currently, most scholars propose prohibiting weight discrimination on a state level through legislation similar to Michigan’s Elliott-Larsen Civil Rights Act or on a federal level by recognizing obesity as a disability protected …

Decolonizing Equal Sovereignty, Rosa Hayes

William & Mary Journal of Race, Gender, and Social Justice

In Shelby County v. Holder, 570 U.S. 529 (2013), the Supreme Court announced that a tradition of equal sovereignty among the states prohibits unwarranted federal intrusions into state sovereignty and invoked this newly created doctrine to strike down Section 4(b) of the Voting Rights Act. Scholarly critiques in Shelby County’s immediate aftermath debated the constitutional validity of the Court’s equal sovereignty reasoning and warned of the dire threat the VRA’s effacement posed to voting rights—concerns that recent litigation have vindicated.

But other recent litigation suggests that, abstracted from its problematic and consequential origins, equal sovereignty may be deployed …

The New Insular Cases, Willie Santana

William & Mary Journal of Race, Gender, and Social Justice

The Insular Cases is a name given to a series of cases decided by the U.S. Supreme Court dealing with the status of the territories the United States acquired at the turn of the twentieth century. The Insular Cases rely on outmoded assumptions about the peoples who live in those islands, ninety-eight percent of whom belong to racial and ethnic minorities, and extend the extraconstitutional doctrine of territorial incorporation, a Plessy-style doctrine of separate governance for these territories that is different than the territories that preceded them. These cases, and the doctrine they announced, have been universally decried as …

Effects Of Constant Load Exercise On Oxygen Consumption And Knee Joint Mechanics In Young Adults, Mariana Victoria Jacobs

Theses and Dissertations--Kinesiology and Health Promotion

The rate of obesity and its adverse health consequences have continued to rise in the past several decades. Aerobic constant load exercise is recommended to reduce excess body mass, however the effects of constant load exercise on oxygen consumption (VO2) and knee joint mechanics are inconsistent when varying weight-status strategies are employed. The purpose of this study was to assess the influence of different weight classification strategies on VO2 and knee joint mechanics during constant load exercise. Participants walked on an instrumented treadmill at a self-selected speed for 30-minutes while gait mechanics and VO2 measures were determined. Between-group differences were …

Investigation Of Lower Extremity Neuromuscular Function In Individuals With And Without Diabetes, Roya Hoveizavi

Theses and Dissertations--Kinesiology and Health Promotion

Background: Diabetes mellitus is associated with notable neuromuscular and motor dysfunctions that could lead to an increased risk of plantar ulcers and amputations. Several contributing factors, including increased muscle-tendon stiffness and abnormal muscle activation pattern may influence the kinematics and kinetics of walking in people with diabetes and promote formation of plantar ulcers. Hyperglycemia and the resultant accelerated rate of glycation have been recognized as the leading cause of muscle and tendon degeneration, yet the precise mechanisms by which diabetes affects the biomechanical properties of the muscle-tendon unit remains unclear. Altered muscle activity during gait is observed in people with …

Reliability And Validity Of A Commercial Running Power Meter To Indicate Metabolic Workload During Endurance Running, James Harris Hudgins Iii

Theses and Dissertations--Kinesiology and Health Promotion

Commercial running power (RP) meters may provide endurance runners and coaches with improved precision for monitoring running intensity. Cyclists rely upon the relationship between cycling power and metabolic demand to regulate physiological intensity during training and racing, independent of changes in the physical environment (e.g., terrain, wind). Research demonstrates strong reliability and validity for a specific RP meter to indicate metabolic demand within controlled running conditions. However, several potential influences on this relationship have not been investigated. Therefore, four studies were conducted with the following aims:

- Study 1: Determine the inter-limb reliability and validity of a single-limb-based RP meter …

The Effects Of Cannabidiol Cream On Soreness And Performance After Exercise In Untrained Individuals, Joseph Thomas Pastina

Theses and Dissertations--Kinesiology and Health Promotion

Background: Exercise-induced muscle damage (EIMD) results from unaccustomed exercise and can lead to delayed onset muscle soreness (DOMS). Impairments associated with EIMD and DOMS can result in moderate-to-severe discomfort and hindered performance. Recently, a compound derived from the cannabis plant, cannabidiol (CBD), has been used as a recovery tool for EIMD and DOMS. Despite the rising popularity of CBD products, their effectiveness in mitigating EIMD and DOMS is unknown. Purpose: The purpose of the present study was to investigate the effects of CBD cream on DOMS and performance after an intensive lower-body exercise protocol. In addition, the study sought to …

Representations Of Military Women In Contemporary War Stories, Deborah Daley

Theses and Dissertations--English

Representations of Military Women in Contemporary War Stories seeks to understand how war stories influence our perception of who belongs in military service. With the canon of western war writing dominated by the memoirs and stories of white men, what happens when service women enter into and author war stories, and how does their appearance destabilize questions of who is fit for military service? War literature provides an important lens through which to observe how military service is scripted by culturally and socially constructed expectations of one’s gender, race, and occupation. In male-dominated workplaces, women must not only perform in …

Orphans, White Unity, And The Charleston Orphan House, 1860-1870, Ruth Poe White

Theses and Dissertations--History

This dissertation explores the ways the Charleston Orphan House, a nineteenth-century whites-only benevolent institution, promoted white unity in South Carolina between 1860 and 1870. Just as it had during the antebellum era, the Orphan Home knit together white society by providing poor white families a source of social security, middling white families a source for cheap labor in the form of indentured service, and elite whites an opportunity to display social prominence. Yet, maintaining this delicate balance throughout the siege of Charleston and the Home’s eventual evacuation to Orangeburg, South Carolina was no easy feat. The Chairman of the Board …

From Displaced To Displacers: Scottish Crofters, First Nation Peoples And Commons Enclosure From The 1700s To The 1800s, Anna Herrington

Theses and Dissertations--History

In the 18^th and 19^th centuries, the enclosure of common systems shaped the displacement of people on a global scale whilst bringing the people---Scottish Highland crofters and Mi’kmaq First Nation Canadians from the margins where they have dwelled for centuries in historical scholarship to of the centre of not just their history, but our collective history. Both populations experienced attacks on their ties to their lands, resources, and culture through enclosure. The enclosure process lasted over two centuries and was interspersed with violent protest, proactive resistance, interspersed with periods of acceptance and determination against their forced removals. Investigating …

Investigating The Relationship Between Metabolic Reprogramming And Peripheral Cd4+ T-Cell Inflammation In Human Type 2 Diabetes Pathogenesis, Gabriella Kalantar

Theses and Dissertations--Microbiology, Immunology, and Molecular Genetics

Chronic, low-grade systemic inflammation rises in obesity and promotes type 2 diabetes (T2D). Circulating immune cells are key indicators of obesity and T2D pathogenesis. T cells outnumber monocytes, in blood, suggesting that T cells might fuel peripheral inflammation in obesity/T2D. Our lab’s work supports this idea by identification of a Th17 cytokine profile in T2D from T-cell stimulated peripheral blood mononuclear cells. Work described herein further supported this work by demonstrating that T cells dominate peripheral inflammation over monocytes across the spectrum of obesity and glycemic control. Our lab has also recently shown that inflammation changes during prediabetes (preT2D), identified …

Therapeutic Implications Of The Gut-Cns Axis In Promoting Recovery Following Cervical Spinal Cord Injury, Jessica Wilson

Theses and Dissertations--Neuroscience

Nearly 60% of all spinal cord injuries (SCI) occur at the cervical level. These high-level injuries can interrupt the descending respiratory pathways required for breathing. Indeed, therapies in animal studies have been successful at restoring breathing after SCI; however, these interventions appear to be more effective at chronic time points. One potential cause for this observation is the impact of the injury on the gut microbiome. Neurotrauma can induce gut dysbiosis, an imbalance of pathogenic and beneficial gut microbiota, which has previously been shown to negatively impact the central nervous system (CNS) and impair recovery. We aimed to build upon …

Mitochondria As Causes Of And Therapeutic Targets In Chronic Post-Sepsis Skeletal Muscle Weakness, Meagan Scott Kingren

Theses and Dissertations--Pharmacology and Nutritional Sciences

Sepsis, or the organ damage that ensues after the body fails to properly contain a local infection, is the leading cause of in-patient hospitalization in the United States. Advances in critical care medicine over the last 20 years have enabled most sepsis patients to survive the life-threatening dysregulated immune response. However, a majority of survivors report chronic weakness and fatigue years after sepsis, and the cause of this weakness remains largely unknown. This dissertation work focused first on elucidating the major causes of post-sepsis muscle weakness (Aim 1). This aim involved a time-course study to determine when muscle weakness was …